Peer-Reviewed Publication
Eur Radiol2026October 13, 2026Journal Article

Prevalence and predictors of silent vertebral compression fractures using DXA: a UK Biobank Imaging Study.

David John Wilson1,2, Richard William Whitehouse3, Georgina Marian Allen4, Fiona Saunders5, Iain Wilson6, Richard Abel7
1Imperial College London, London, UK. david@slro.co.uk.
2University of Oxford, Oxford, UK. david@slro.co.uk.
3Manchester University Hospitals NHS Foundation Trust, Manchester, UK.
4Green Templeton College, University of Oxford, Oxford, UK.
5Aberdeen Centre for Arthritis and Musculoskeletal Health, University of Aberdeen, Aberdeen, UK.
6Oxehealth, Oxford, UK.
7Faculty of Medicine, Imperial College London, London, UK.

Abstract

OBJECTIVES: Silent vertebral fractures are common but under-recognised. We aimed to estimate the prevalence in an asymptomatic population and to identify demographic and clinical predictors using the UK Biobank data. MATERIALS AND METHODS: DXA spine images from 2446 asymptomatic UK Biobank participants aged 40-79 years were analysed retrospectively. Vertebral fractures were defined as moderate or…

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